Adjustable ankle extension and flexion device with padding

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adjust ankle ext/flex device

Payers reporting HCPCS E1815

Payer pricing summary

Low

Average

$553

Median

$260

High

$6.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$158	$247	$261	106%	—	$122 – $1.2k
2	Aetna fee schedule · outpatient · +5 other terms	236	$156	$384	$1.2k	324%	—	$56 – $14.7k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	231	$155	$148	$28	19%	—	$75 – $227
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	176	$157	$386	$825	214%	—	$0 – $6.3k
5	WellCare fee schedule · outpatient · +1 other terms	169	$158	$165	$29	18%	—	$150 – $312
6	Devoted fee schedule · outpatient · +1 other terms	151	$154	$155	$5	3%	—	$147 – $180
7	Cigna Healthspring fee schedule · outpatient	104	$157	$158	$8	5%	—	$153 – $187
8	Molina fee schedule · outpatient · +3 other terms	89	$226	$214	$82	38%	—	$150 – $402
9	Cigna fee schedule · outpatient · +3 other terms	69	$158	$285	$686	241%	—	$147 – $5.3k
10	Superior Healthplan fee schedule · outpatient	39	$161	$161	—	—	—	$161 – $161
11	Anthem fee schedule · outpatient · +5 other terms	34	$153	$162	$26	16%	—	$147 – $293
12	Clover fee schedule · outpatient	32	$158	$159	$2	1%	—	$157 – $161
13	Bcbs Tx fee schedule · outpatient	31	$141	$145	$43	29%	—	$106 – $526
14	Kaiser fee schedule · outpatient · +3 other terms	24	$156	$152	$4	3%	—	$147 – $156
15	Optum fee schedule · outpatient · +1 other terms	24	$153	$184	$75	41%	—	$147 – $384
16	Oscar fee schedule · outpatient	24	$150	$155	$5	3%	—	$150 – $161
17	Amerihealth Caritas fee schedule · outpatient	16	$184	$182	$4	2%	—	$174 – $184
18	Caresource fee schedule · outpatient · +3 other terms	15	$153	$153	—	—	—	$153 – $153
19	Medicare fee schedule · outpatient	15	$147	$160	$13	8%	—	$147 – $173
20	Wellmark fee schedule · both · +1 other terms	13	$168	$206	$239	116%	—	$129 – $1.7k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.7k	$1.7k	$435	26%	—	$837 – $2.0k
22	Bcbs Nj fee schedule · outpatient	12	$157	$339	$230	68%	—	$157 – $695
23	Highmark fee schedule · outpatient · +3 other terms	10	$405	$410	$478	117%	—	$75 – $1.3k
24	Medica fee schedule · outpatient · +4 other terms	10	$350	$350	$90	26%	—	$212 – $452
25	Medical Mutual fee schedule · outpatient	9	$294	$294	—	—	—	$294 – $294

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